NO PERMIT NUMBER m21 , Lot No. t da
No. Srreat , G /as-
APPLICATION FOR.BUILDING PERMIT
CITY OF CUPERTINO c
File No..%r/00 7
Sanitary No.-fir/- ej
Da to T"196
Application is hereby made for a permit to �/'
a story, Type �S es'
to be occupied only as
in accoran6lifh Plot Plan, Plans and Specification
filed herewith,
OU,T
Estimated Value of Improvements E _Oa As Y—
FEES ' 9. � �_ _ - Plan Check E A_
Owner � ANMS/ - Address 42 rIIIIII&L- V96.
Cc, Address Sc
Phone ���—p� �� State License �r� ,Z�
Approved
44
5 `
APPLICATION FOR ELECTRICAL PERMIT 1
Date2/� ��'3 196 / FEES �`-� � S
Cont, /.(l
. �' Address
Phone -7 State License
Approved WILLIAM D. E3ENEVICFI
APPLICATION FOR PLUMBING & GAS PERMIT
c/ E FEE S�
Dote a � 196 � GAS J�
,. '-p PLUMBING FEE E
Contr.._�w1� Address
Phone —' -J'J - 2.3 - 3 State License � �6575
WILLIAM D.WILLIAMS
' Approved
/� APP CATION FOR APPLIANCE PERMIT/0
Data �_ 196 A' FEES �f
Contr. Address /&'e
Phone — 37 Cr L3 f57 F State License
Approved WILLIAM D. SEN17WICH
Applicants agree not to violate any of the
Workman's Compensation Laws of the
State of California
RECORD OF INSPECTION APPROVALS
p
FOUNDATION 0 —011 6o BUILDING
_Dlp 6 I ator
UNDERFLOOR �
�a a Ins pe
FRAME
Date _6 p Ins a
LATH PLASTER �� J
FINAL
Data v Insoector
ELECTRICAL
,OUTLETS SERVICE SI
SWITCHES UNDERGROUND I
'D 9fe 1
RECEPTACLES ROUGH WIRING O Inspector
OSS
FIXTURES FINISH WIRING ODM
11 O_ lnspoctor
D Inspector
M.P. CHARGE FIXTURES O Ot eAIN go
R Inspector
PERMIT FEE Motors
y OOatq 49 Inspector
TOTAL FEES FINAL O V
Date Inspector
PLUMBING & GAS
MAIN DRAIN SIZE MATERIAL
STORM DRAIN SIZE MATERIAL
( WATER SYSTEM SIZE JATERIAL
TOTAL FIXTURES . UNDERGROUND
FIXTURE FEE PARTIAL ROUGH 9—,10
-,6/?
_ Dot p /In or
MAIN DRAIN FEE ROUGH COMPLETEA)- - 0
�/� . Dafs �Im pector
STORM DRAIN FEE MAIN DRAIN
Date Spector.
WATER SYSTEM FEE GASP NG .?'fq_
Date I actor _
GAS PIPING FEE FINAL —.(,7
'f — G
Date Inspector
PERMIT FEE MISC
ate Inspector
TOTAL FEE MISC
Data Inspector
APPLIANCE
TYPE OF APPLIANCE UNITS FEE TYPE OF APPLIANCE UNITS FEE
CIRCULATING HEATERS REGISTERS
BLOWER FURNACES COMBUSTION VENT
SUSPENDED UNIT MISC
GAS RANGE MISC'
GAS DRYER. PERMIT FEE
FLOOR FURNACE c TOTAL FEE
/
INSPECTED / -2--1 / '
Date Inspector
GAS' SERVICE NOTICE OFFICE
' BUILDING INSPECTOR'S OFFICE
COPY
I y� CITY OF CUPERTINO
............. ....../I............................
196.0...
To
You are hereby authorized to conned the GAS service for
Owner or Tenant .... . .... . . ....^. ....: . .
At ......el.13.A....6.......... .............. ......... .. ....
L�T.� ...................................
.New Service ..........................
No. of Meters .....I............... Reconnect .............................
Move Service .......................
No. of Add. Meters .............. Move Meter ........................
...............................................................................
PLUMBING INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .... � e^
.. � �
.......� ...._...........1 . 1 _. Building Permit . .. ..... .
The Building Locatteed} at 421.31: .........1!`:``:`w+td✓ f..........................................
Owned by ..........!` �...�y ... ct d�..(I.................................. .�..:�.........
V ... .. .. c _
Has Been (Completed) For Use As: ._..-?...f..............................................................
W�
..................................................................................................................................................
..._..'--- - •- ----.` ........_` - .................
BUILDING. INSPECTOR
102 12/66-1M '
OFFICE COPY
CITY OF CUPERTINO
ELECTRIC SERVICE NOTICE
......:...f.._ ..-.+`1__..........._., 'I9(40
You are hereby author o ect el I ri I service for
Owner or Tenant ................. ....... .. .. . ... . ........ .. .....
At .................Z.I�VZO
................... ......
No. of Wires .......% I ....... Size of Wires ... ..... ... ..
Size of Switch
Motor!Load .......................... Voltage ................................ Phase ..................................
HeatingLoad ........................ K. W. .................................. Voltage .................. .............
No. of Meters........._....... Light................ 110.......... �,�er%ic................. Munnect........... ..
No. of
No. of Add. Meters_ Heat................. 220........... h Wire. ")%e Service...........,
Power....... ree ree has, Nfeter.:.
............ ........................................
CLELTWCAL INSPECTOR
Bldj."Dept.
Office Copy
BUILDING INSPECTOR'S OFFICE-,
CITY OF CUPERTINO
PSewer Connection Sanitary Permit No. ......-_........-..-_.......
ffllPlumbing Final Plumbing Permit No. `-'.X-7......
Lot No. ..................
Owner or Tenant 41 " ---------------- ---
--------------- - - ---------------------------- -----------------------------
At ----
........................................... ...............................................................................
Tractd-::. .-..5. .....11........ .......... ..................................
Date Connected _.I.;.no--------e........................
..........................------------- 19... --
Date Final -------------- ......................... 19...,-y..--:
......................................................................
PLUMBING INSPECTOR
111 12/66-1M
GAS SERVICE NOTICE P G a r
COPY
BUILDING INSPECTOR'S OFFICE
13 CITY OF CUPERTINO
. .r........./.. .:................ .......... 19G.Q.o
..
To
You are hereby authorized to connect the GAS service for
Owner or Tenant ...
......................................................................................
At '...... 2-/:..3.. . ............ : ..... , .. ..................................
New Service ..........................
No. of Meters ......1.............. Reconnect ..............................
Move Service ........................
No. of Add. Meters .............. Move Meter ..........................
............ ..............:..................
PLUMBING- INSPECTOR
ROUTE SLIP
Fi].e No.-
Da te
o.Date /2- /3-68
Locatioonf 7.3
Subject nA Q
Notes
Approved /g/3�-(0
6- 3 ig
LOT NO,
NO. STREET T-J
w i N FOR BUILDING PERMIT
fo D
r o
LL OF CUPERTINO
Q
02
n7O Sanitary No. / q
w „ Uate J/ F_"I Permit No.
F t�
'o a C'ro ff9 6R[tlprt�t�dq/pr a permit to
i In a story,TypeIY�J - Building
to be occupied only as Com/ vfs✓ � n accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck ^ee
Estimated Value of Improvements, $ �= Fee S e?
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j Z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
3 0OwnerX H T�/�,
S' ,/>/ ('L/ Address
wz
a a By s
us
<0 Phonek .15�7z A!�T- Approved
J State License DING INSPECTOR